Provider Demographics
NPI:1376744995
Name:BUSER, SHERI MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:MARIE
Last Name:BUSER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:SHERI
Other - Middle Name:MARIE
Other - Last Name:STRATHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:20643 150TH ST
Mailing Address - Street 2:
Mailing Address - City:MAQUOKETA
Mailing Address - State:IA
Mailing Address - Zip Code:52060-8729
Mailing Address - Country:US
Mailing Address - Phone:563-672-3648
Mailing Address - Fax:
Practice Address - Street 1:535 HILL ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6678
Practice Address - Country:US
Practice Address - Phone:563-588-4033
Practice Address - Fax:563-588-4044
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0001370Medicaid